Individual
DR. AMANDA JILL CLEMENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
47 NEW SCOTLAND AVE, MC 47, ALBANY, NY 12208-3412
(518) 262-1333
Mailing address
1017 BALLTOWN RD, NISKAYUNA, NY 12309-5928
(518) 301-4301
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015622
PA
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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